Gait Analytics Physical Therapy, PLLC
NPI 1174922074ActiveOrganization· Physical Therapist· Port Jefferson, NY
Physical Therapist in Port Jefferson, New York, registered in NPPES in August 2014. The authorized official on file is David Nieves, PT, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1174922074 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2014 |
| Last updated in NPPES | Aug 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 015511-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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All 42 physical therapists in Port Jefferson · All physical therapists in New York